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The A.M. Post

An eNewsletter for Aging Magnificently — ISSUE 9 

At Lifespark we’re all about helping you stay healthy at home, navigating your health options with confidence, and living a fuller, more independent life. That’s what The A.M. Post is all about, too. Read on — we hope you enjoy!

Ageism: The Silent Threat to Your Health and Well-being

We live in a deeply ageist society. And often that ageist thinking can disrupt our ability to choose how we live as we age. When it does, there are consequences to our health. Read on for what we mean…

Ageism is a bigger problem than aging. That’s a bold statement right from Dr. Bill Thomas, Lifespark Independence Officer and world-renowned geriatrician’s book Aging Magnificently. A little exploration into the world of ageism and we see its effects all around us. In health care, in our families, and within ourselves. When ageism exists, we open the door for a declinist aging experience that limits someone’s ability to grow, share wisdom, do the things that matter, be fully present, and participate in life. And when we do, our health suffers.

Dr. Bill’s statement is remarkable if you really slow down and think about it. We are all aging. There’s knowledge and experience that comes with having more years of living under your belt. Instead of diminishing it, we should harness it. When we limit people simply because of age, treat them differently or dismiss their feelings or symptoms because that’s ‘normal aging,’ we are doing them, and society a disservice.

True story – for over eight decades, Mike has played hockey. He’s skated on the lake with his brothers in his early years, was captain of his high school team, taught and coached his kids then grandkids, and now is an avid member of the Rusty Blades, a 65+ team. Being a hockey player defines who he is giving him a sense of purpose. He thrives on the competition and camaraderie, relishes the stories over the years of his bravery and fight. Despite being a healthy, active older adult, as he aged, many have told him he’s crazy to ‘still be playing.’ He doesn’t (nor should he) feel he should ever stop doing what he loves and contributes that purpose to keeping his health and well-being strong.

Then at 83, he found out he had a brain tumor putting his control and purpose in jeopardy.

After aggressive surgery and a few weeks in rehab, the only thing that kept him going was his eagerness to get back on the ice. His doctors, however, had vastly different plans. Hockey in their minds was no longer something an 83-year-old brain cancer survivor should be doing. What if he fell? What if he was weak? What if he got sick? A million reasons not to but none for why he should.

By removing the one thing that gave him purpose, he was no longer motivated to work harder in rehab and heal. While they meant to help, his doctors were implicitly ageist in pushing their own biases of what their perceived notion of aging was onto Mike.

This happens more often than we think. Data from the 2020 National Poll on Healthy Aging found that 82% of older Americans reported experiencing ageism regularly. When seniors feel they no longer have purpose, their health declines. Society inadvertently contributes to this by keeping that narrative the norm.

“In order to age magnificently, we must understand aging as a process of growth and development,” explained Dr. Bill. “When we don’t, we limit people’s perceptions and that negative ageism shortens lifespan.”

Age simply means we are further along in our growth and development at 80 than we are at 40 but neither are done growing or developing. This is important. As Dr. Bill notes in his book, seniors often compare themselves to what others expect. Meaning, society has normalized that as we age, we slow down and await the impending doom of old age. We prepare ourselves for the ultimate loss of control that everyone says comes with aging. “We have been primed to perceive aging as diminishing. Instead of experiencing aging as a process of growth and development, we are told to expect a ‘hard row to hoe’ with an emphasis on diminishment and loss,” said Dr. Bill. “Conversely, positive aging stereotypes strengthened positive self-perceptions of aging, which, in turn, improved physical function.”

Is ageism making you unhealthy? It could be. Ageism and the control of choices are interconnected. Ageist beliefs are associated with higher rates of certain diseases including cardiovascular disease, memory impairment, and lower will to live. We saw that in Mike.

When we limit what we think older people are capable of, we significantly affect autonomy and control over their choice to live life on their terms. When Mike’s choice was not valued or part of the plan, he lost his motivation to get better. In his mind, he’d rather die than not do what he loved. And even if he did, that would have been his choice.

As his family saw this change – withdrawing from conversation, no interest in doing activities, barely eating – they knew something had to shift. They started with their own fear and accepted Mike’s choice to keep playing. With the help of a new doctor, they created a plan that incorporated getting him back on the ice. First, he had to get strong enough to walk without assistance. If he did that, his brothers would take him public skating. Being on skates was enough for Mike. He’s not quite ready for a game, and the reality is, he may never be, but he gets to decide that.

Why do we share this with you? Because ageism has a direct link to our health. We are giving you permission to be completely you even if others don’t agree. Whatever it is, if it brings you joy, do it. Allowing yourself to Age Magnificently without limits is the key to good health. As Dr. Bill writes in his book, the best way to overcome ageism is to ask the simple question, ‘What do you mean by old?’ Push your doctors, families, even your own thinking about how they (and you) define old and why. And as Mike did, surround yourself with the right team who will put your goals at the center.

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ask ethel

Ask Ethel

What should I keep for personal health information for an emergency?

Dear Ethel,

A friend of mine’s husband had a health emergency. The most stressful part for her was that she didn’t know where anything was stored nor any of his information like how to pay for bills while he was in the hospital or where his insurance cards were or what the VA number was to access services. That got me thinking, what else should we have in place in case of emergency?

~ Proactive Patty

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Dear Proactive Patty,

I love this question. As your friend knows all too well, when you are in the midst of a loved one’s health crisis, the added stress of not knowing where anything is kept can be incredibly frustrating. It can also delay care if you don’t know how to access medical records, who their primary care provider is, or what their insurance information is. Most important, in dire emergencies, knowing how to treat is critical to honoring a person’s wishes.

When we think of a health crisis it’s often in those first moments. For people like your friend, it’s really the days after if the person remains in the hospital or rehab for prolonged periods. You become the person in charge of the details and it’s important you know where to look for the information to keep your household running. Especially if the person is unable to coherently tell you where those important documents are held.

Searching for these things while your emotions are high adds to your stress. As we increasingly depend on the Internet to store documents and account information, it’s important to centralize things like your loved one’s passwords in a safely locked location like a safe deposit box so you can access their personal information in the event that they are not able to.

Here is a list of a few things you may not think of that should go into a personal record keeper:

  • Personal information like DOB, license number, birth certificate, and passport
  • Passwords to online banking or bank accounts
  • Insurance information – copy of cards and policies, primary care doctors, specialty doctors, and their contact information
  • EMR access to previous tests, history, and blood work
  • Death and/or marriage certificates
  • Military records
  • Copies of will, trust, or contact information for attorney overseeing these details
  • Retirement account and contact information

Biggest tip – make sure everyone in your trusted circle knows where this is kept so that anyone can access it should they need it during a health crisis. The key is preparation and planning and you, Patty, are doing a great job! Thanks for bringing this question to our readers.

In health,
Ethel

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Aging Magnificently is a team sport

We become stronger, healthier, and happier when we come together as a community. Spark Performances promote healthy aging by purposefully strengthening the mind, body, and spirit in competition with other residents from across Lifespark Senior Living communities.

Designed by Dr. Bill Thomas, geriatrician and Lifespark Independence Officer, The Spark Performance League builds relationships and challenges each senior to break the myth that aging is inevitable decline. Ageism does not exist here!

Those who become Spark Performance athletes believe these performances are more than competition, they’re about connecting to greater strength, purpose, and belonging (and a whole lot of fun!). There are many opportunities to participate: athletes, cheerleaders, analysts, scouts, practice coordinators, rhythm sections and so much more. This video is of our winning champions – The Dragonflies – who are a sparked example that Aging Magnificently is not only possible, it’s happening. Shout out also to our newest World Champions, The Yorkies from Yorkshire of Edina.

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dragonflies